Nicole M Klaas, APNP in Dodgeville, WI - Medicare Nurse Practitioner

Nicole M Klaas, APNP is a medicare enrolled "Nurse Practitioner - Family" in Dodgeville, Wisconsin. Her current practice location is 316 W Spring St, Dodgeville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 276-4660.

Nicole M Klaas is licensed to practice in Wisconsin (license number 13851-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053008466.

Contact Information

	Nicole M Klaas, APNP
	316 W Spring St, Dodgeville, WI 53533-1300
	(608) 276-4660
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole M Klaas
Gender	Female
Speciality	Nurse Practitioner - Family
Location	316 W Spring St, Dodgeville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053008466
Provider Enumeration Date: 04/18/2023
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0446617799
Enrollment ID: I20230601002107

Medical Identifiers

Medical identifiers for Nicole M Klaas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053008466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13851-33 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole M Klaas allows following entities to bill medicare on her behalf.

Entity Name	Agrace Palliative Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326386129 PECOS PAC ID: 4385882729 Enrollment ID: O20130524000443

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole M Klaas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole M Klaas, APNP Po Box 263, Montfort, WI 53569-0263 Ph: (608) 778-6654	Nicole M Klaas, APNP 316 W Spring St, Dodgeville, WI 53533-1300 Ph: (608) 276-4660

Reviews and Comments

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Nicole M Klaas, APNP - Medicare Nurse Practitioner in Dodgeville, WI